Sixth Form Application Form

Please complete all fields marked (*)

Title

Please select your title from the list provided.

First Name *

Please enter your first name as seen on your birth certificate.

Preferred First Name *

Please enter your preferred first name.

Last Name *

Please enter your last name as seen on your birth certificate.

Date of Birth *

Please enter your date of birth.

Gender

Please enter your chosen gender.

Legal Sex *

Please enter your legal sex (for Health and Safety and First Aid reasons).

Preferred Pronouns *

Please enter your preferred pronouns.

What subjects are you looking to study with us? *

Please select 3 or 4 subjects from the list below.

What enrichment options are you looking to uptake? *

Please select what enrichment option you are looking to uptake.

Street Address *

Please enter your full address in the relevant boxes below.

Address Line 2

City *

County *

Postcode *

Country *

Mobile Number *

Please enter your mobile number.

Personal Email Address *

Please enter your personal email address.

Parent/Carer First Name (Contact 1) *

Please enter your parent or carers first name.

Parent/Carer Last Name (Contact 1) *

Please enter your parent or carers last name.

Relationship to Applicant *

Please enter how the parent or carer is related to the applicant.

Parent/Carer Email Address (Contact 1) *

Please enter your parent or carers email address.

Parent/Carer Telephone Number (Contact 1) *

Please enter your parent or carers telephone number.

Street Address *

Please enter your parent or carers full address in the relevant boxes below.

Address Line 2 *

City *

County *

Postcode *

Country *

Parent/Carer First Name (Contact 2)

Please enter your parent or carers first name.

Parent/Carer Last Name (Contact 2)

Please enter your parent or carers last name.

Relationship to Applicant

Please enter how the parent or carer is related to the applicant.

Parent/Carer Email Address (Contact 2)

Please enter your parent or carers email address.

Parent/Carer Telephone Number (Contact 2)

Please enter your parent or carers telephone number.

Street Address

Please enter your parent or carers full address in the relevant boxes below.

Address Line 2

City

County

Postcode

Country

Current Place of Study *

Please select your current place of study.

Qualifications *

Please enter all qualifications you have achieved during your studies. (Subject, Level & Predicted Grade)

Nationality *

Please enter your nationality.

Country of Residence *

Please select your country of residence.

First Language *

Please select your first spoken language,

Ethnicity

Please select the ethnicity that best suits you.

Have you the right of abode and been a resident in the UK for the last 3 years? *

Support Needs

We provide a range of support for students with additional needs. To ensure that we can provide you with any additional support you may need, please tick the relevant boxes below as appropriate:

I have/have had an Educational Health Care Plan (EHCP)

Visual Impairment

Hearing Impairment

Disability Affecting Mobility

Other Physical Mobility

Other Medical Condition e.g. Epilepsy

Diabetes

Aspergers Syndrome

Multiple Disabilities

Other Disability

Moderate Learning Difficulty

Severe Learning Difficulty

Dyslexia

Dyscalculia

Other Specific Learning Difficulty

Autistic Spectrum Condition

Multiple Learning Difficulty

Speech & Language Difficulty

Other

Are you currently in care or care leaver? *

Please select if you are currently in care or are a care leaver.

Please record contact details of your key worker/support worker if you have one.

If you have a key worker or support worker, select enter their contact details.

Where did you hear about us? *

Please select where you heard about us. Tick all that apply.

Current School

Sixth Form Prospectus

Sixth Form Open Evening

Social Media

Family/Friend

School Website

Advertising

Other

Declaration by applicant *

Sir John Leman High School has produced a Privacy Notice for students which is in accordance with the GDPR and the Data Protection Act 2018. The Privacy Notice is available on request and can be found on the school website at https://www.sirjohnleman.co.uk/Policies. If you have any questions about this notice or the ways in which we use your personal information, please contact our Business Operations Manager at xjgr@sirjohnleman.co.uk. By ticking the box below, you confirm that all the information you have provided is correct. You agree that admission as a student is subject to your acceptance of the colleges regulations.

Please provide a signature.

Sir John Leman High School and Sixth Form

Sixth Form Application Form

Application to join Sir John Leman Sixth Form

Established in ~ 1632 ~